| Progressive Neurology And Sleep Center Pllc | |
|
501 Baylor Ct Ste 100 Chesapeake VA 23320-3690 | |
| (757) 991-0190 | |
| (757) 991-0191 |
| Full Name | Progressive Neurology And Sleep Center Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 501 Baylor Ct Ste 100, Chesapeake, Virginia |
| Authorized Official Name and Position | Soham Sheth (OPERATING MANAGER) |
| Authorized Official Contact | 7579417843 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Progressive Neurology And Sleep Center Pllc 1313 Masters Ct Chesapeake VA 23320-9451 Ph: (757) 941-7843 | Progressive Neurology And Sleep Center Pllc 501 Baylor Ct Ste 100 Chesapeake VA 23320-3690 Ph: (757) 991-0190 |
| NPI Number | 1154892107 |
|---|---|
| Provider Enumeration Date | 12/16/2018 |
| Last Update Date | 11/30/2022 |
| Certification Date | 11/30/2022 |
| Medicare PECOS PAC ID | 6709123888 |
|---|---|
| Medicare Enrollment ID | O20190128001992 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154892107 | NPI | - | NPPES |
| Provider Name | Soham Sheth |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386835841 PECOS PAC ID: 7214084896 Enrollment ID: I20090416000728 |
| Provider Name | Vangel Orencia Quilon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679090492 PECOS PAC ID: 4284993106 Enrollment ID: I20180122001425 |
| Provider Name | Ma Zaidelaine Arellano Llena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962047084 PECOS PAC ID: 9234510777 Enrollment ID: I20220720003896 |
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